Результаты исследований: Научные публикации в периодических изданиях › Обзорная статья › Рецензирование
Percutaneous nephrolithotomy for staghorn calculi : Troubleshooting and managing complications. / Gadzhiev, Nariman; Malkhasyan, Vigen; Akopyan, Gagik; Petrov, Sergei; Jefferson, Francis; Okhunov, Zhamshid.
в: Asian Journal of Urology, Том 7, № 2, 04.2020, стр. 139-148.Результаты исследований: Научные публикации в периодических изданиях › Обзорная статья › Рецензирование
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TY - JOUR
T1 - Percutaneous nephrolithotomy for staghorn calculi
T2 - Troubleshooting and managing complications
AU - Gadzhiev, Nariman
AU - Malkhasyan, Vigen
AU - Akopyan, Gagik
AU - Petrov, Sergei
AU - Jefferson, Francis
AU - Okhunov, Zhamshid
N1 - Publisher Copyright: © 2020 Editorial Office of Asian Journal of Urology
PY - 2020/4
Y1 - 2020/4
N2 - Staghorn calculi comprise a unique subset of complex kidney stone disease. Percutaneous nephrolithotomy (PCNL) is the gold standard treatment for staghorn stones. Despite continuous refinements to the technique and instrumentation of PCNL, these stones remain a troublesome challenge for endourologists and are associated with a higher rate of perioperative complications than that for non-staghorn stones. Common and notable intraoperative complications include bleeding, renal collecting system injury, injury of visceral organs, pulmonary complications, thromboembolic complications, extrarenal stone migration, and misplacement of the nephrostomy tube. Postoperative complications include infection and urosepsis, bleeding, persistent nephrocutaneous urine leakage, infundibular stenosis, and death. In this review, we report recommendations regarding troubleshooting measures that can be used to identify and characterize these complications. Additionally, we include information regarding management strategies for complications associated with PCNL for staghorn calculi.
AB - Staghorn calculi comprise a unique subset of complex kidney stone disease. Percutaneous nephrolithotomy (PCNL) is the gold standard treatment for staghorn stones. Despite continuous refinements to the technique and instrumentation of PCNL, these stones remain a troublesome challenge for endourologists and are associated with a higher rate of perioperative complications than that for non-staghorn stones. Common and notable intraoperative complications include bleeding, renal collecting system injury, injury of visceral organs, pulmonary complications, thromboembolic complications, extrarenal stone migration, and misplacement of the nephrostomy tube. Postoperative complications include infection and urosepsis, bleeding, persistent nephrocutaneous urine leakage, infundibular stenosis, and death. In this review, we report recommendations regarding troubleshooting measures that can be used to identify and characterize these complications. Additionally, we include information regarding management strategies for complications associated with PCNL for staghorn calculi.
KW - Complications
KW - Management
KW - Percutaneous nephrolithotomy
KW - Staghorn
KW - Urolithiasis
UR - http://www.scopus.com/inward/record.url?scp=85076489870&partnerID=8YFLogxK
U2 - 10.1016/j.ajur.2019.10.004
DO - 10.1016/j.ajur.2019.10.004
M3 - Review article
AN - SCOPUS:85076489870
VL - 7
SP - 139
EP - 148
JO - Asian Journal of Urology
JF - Asian Journal of Urology
SN - 2214-3882
IS - 2
ER -
ID: 88009588